[운동처방사 국비지원] 요골골두 골절 재활운동

요골골두 골절 재활운동

요골두부 골절은 주관절(팔꿈치관절)의 일부를 형성하는, 버섯머리 모양의 부분에서의 골절로 자주 요골 두부는 여러 조각으로 깨진다.

▒ 증상

팔꿈치의 바깥쪽에 심한 통증이 있고, 출혈로 인하여 골절의 바깥쪽이 부어오를 때 통증이 매우 심하게 악화되며 부종이 심해질 때 관절운동범위의 소실이 있다, 어깨를 편안하게 유지할 수 있는 자세는 90도 굴곡 상태이다.

▒ 원인

팔이나 손위로 넘어져서 손이나 전완을 통하여 주관절에 전해지는 충격에 의해 발생된다.

다른 관절 내 골절과 마찬가지로 요골두골절의 치료는 숙련된 정형외과 의사를 찾는 것이 중요하다. 부적절하게 치료되면 관절기능의 영향을 받게 되고 전완, 손, 손가락운동에 제한이 생길 가능성이 높아진다.

Stretching exercises

• Wrist active range of motion: Flexion and extension: Bend your wrist forward and backward as far as you can. Do 3 sets of 10.

• Forearm pronation and supination: With your elbow bent 90°, turn your palm upward and hold for 5 seconds. Slowly turn your palm downward and hold for 5 seconds. Make sure you keep your elbow at your side and bent 90° throughout this exercise. Do 3 sets of 10.

• Active elbow flexion and extension: Gently bring your palm up toward your shoulder and bend your elbow as far as you can. Then straighten your elbow as far as you can 10 times. Do 3 sets of 10.

Strengthening exercises

• Wrist flexion: Hold a can or hammer handle in your hand with your palm facing up. Bend your wrist upward. Slowly lower the weight and return to the starting position. Do 3 sets of 10. Gradually increase the weight of the can or weight you are holding.

• Wrist extension: Hold a soup can or hammer handle in your hand with your palm facing down. Slowly bend your wrist upward. Slowly lower the weight down into the starting position. Do 3 sets of 10. Gradually increase the weight of the object you are holding.

• Wrist radial deviation strengthening: Put your wrist in the sideways position with your thumb up. Hold a can of soup or a hammer handle and gently bend your wrist up, with the thumb reaching toward the ceiling. Slowly lower to the starting position. Do not move your forearm throughout this exercise. Do 3 sets of 10.

• Forearm pronation and supination strengthening: Hold a soup can or hammer handle in your hand and bend your elbow 90°. Slowly rotate your hand with your palm upward and then palm down. Do 3 sets of 10.

• Wrist extension (with broom handle): Stand up and hold a broom handle in both hands. With your arms at shoulder level, elbows straight and palms down, roll the broom handle backward in your hand. Do 3 sets of 10.